Information:
Error:
ID
10389
Description
ADEERS Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=A12FFCCA-ABD0-42E9-E034-080020C9C0E0
Link
Keywords
Versions (2)
- 9/19/12 9/19/12 -
- 5/28/15 5/28/15 -
Uploaded on
May 28, 2015
DOI
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License
Creative Commons BY-NC 3.0 Legacy
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ADEERS
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- StudyEvent: ADEERS
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- StudyEvent: ADEERS
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Dateofdatatransfer
Item
Date of data transfer
text
TransferMethod
Item
Transfer Method
text
Specifyothertransfermethod
Item
Specify other transfer method
text
AmendedDataInd
Item
Amended Data Ind
text
C25474 (NCI Thesaurus ObjectClass)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
C1511726 (UMLS 2011AA ObjectClass)
C25416 (NCI Thesaurus Property)
C1691222 (UMLS 2011AA Property)
ReportType
Item
Report Type
text
TicketNumber
Item
Ticket Number
text
AmendmentNumber
Item
Amendment Number
text
TreatmentArmNumber
Item
Treatment Arm Number
text
AdverseEventOnsetDate
Item
Adverse Event Onset Date
text
AdverseEventSymptomEndDate
Item
Adverse Event End Date
date
C25164 (NCI Thesaurus ValueDomain)
C0011008 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C4876 (NCI Thesaurus Property)
C1457887 (UMLS 2011AA Property)
C0011008 (UMLS 2011AA ValueDomain)
C41331 (NCI Thesaurus ObjectClass)
C0877248 (UMLS 2011AA ObjectClass)
C4876 (NCI Thesaurus Property)
C1457887 (UMLS 2011AA Property)
Recoveryordeathdate
Item
Recovery or death date
text
AdverseEventCategory
Item
Adverse Event Category
text
CTCAdverseEventTerm
Item
CTC Adverse Event Term
text
CTCAdverseEventGrade
Item
CTC Adverse Event Grade
text
Hospitalization?
Item
Hospitalization?
text
C25616 (NCI Thesaurus Property)
C1948053 (UMLS 2011AA Property)
C25375 (NCI Thesaurus Property)
C0684224 (UMLS 2011AA Property)
C25179 (NCI Thesaurus ObjectClass)
C0019993 (UMLS 2011AA ObjectClass)
C1948053 (UMLS 2011AA Property)
C25375 (NCI Thesaurus Property)
C0684224 (UMLS 2011AA Property)
C25179 (NCI Thesaurus ObjectClass)
C0019993 (UMLS 2011AA ObjectClass)
DischargeSummary
Item
Discharge Summary
text
CTCCode
Item
CTC Code
text